| NPI | 1487751095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301007819) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801057222) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2013-06-04 |