| NPI | 1548404270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015407) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 23802) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2016-07-08 |