| NPI | 1447788476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007528) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017089) |
| 103T00000X Psychologist (Licence: MI 6301017098) | |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2020-11-17 |