| NPI | 1457006140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6362009665) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: MI 6362009665) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2024-10-01 |