| NPI | 1508985276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301002029) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: MI 6301002029) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MI 6301002029) | |
| 103TF0000X Psychologist Family (Licence: MI 6301002029) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-01-20 |