| NPI | 1487714036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007867) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301007867) |
| 103TF0200X Psychologist, Forensic (Licence: MI 6301007867) | |
| 103TH0100X Psychologist, Health Service (Licence: MI 6301007867) | |
| 103T00000X Psychologist (Licence: MI 6301007867) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |