| NPI | 1508993247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013851) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801087845) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301013851) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-05-28 |