| NPI | 1548481864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301011588) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301011588) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: MI 6301011588) | |
| 103TC0700X Psychologist Clinical (Licence: MI 6301011588) | |
| 103TC1900X Psychologist Counseling (Licence: MI 6301011588) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MI 6301011588) | |
| 103TF0200X Psychologist Forensic (Licence: MI 6301011588) | |
| 103TH0100X Psychologist Health Service (Licence: MI 6301011588) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: MI 6301011588) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |