| NPI | 1437624467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007697) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017622) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6362000710) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2023-01-11 |