| NPI | 1558441840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008104) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401005154) |
| 103G00000X Clinical Neuropsychologist (Licence: MI 6301008104) | |
| 103T00000X Psychologist (Licence: MI 6301008104) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: MI 6301008104) | |
| 103TF0000X Psychologist, Family (Licence: MI 6301008104) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-04-28 |