| NPI | 1508188749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005442) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI L1617946) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301015109REN20) | |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2021-10-12 |