| NPI | 1437665841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019008) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017243) |
| 103T00000X Psychologist (Licence: MI 6301019008) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2025-04-11 |