| NPI | 1437593167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361000732) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010665) |
| 103T00000X Psychologist (Licence: 6361000732) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2023-03-09 |