| NPI | 1548781115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361005627) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016589) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2023-02-13 |