| NPI | 1487138038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6352000460) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017579) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2022-03-15 |