NPI | 1457950172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MI SP0000000912649) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362009126) |
Enumeration Date | 2020-10-23 |
Last Update Date | 2020-10-23 |