| NPI | 1518933282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 003973) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013799) |
| 103T00000X Psychologist (Licence: PA PS009147L) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2024-06-11 |