| NPI | 1487802229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361001724) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012536) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2023-05-18 |