| NPI | 1467003087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361008078) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6362009115) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-09-03 |