| NPI | 1538120209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301007347) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301007347) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-12-26 |