| NPI | 1518439926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MI 6301017200) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017200) |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2019-03-26 |