| NPI | 1467946087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012236) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI SP0000071) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |