| NPI | 1538899158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6351004680) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6352000692) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-01-17 |