| NPI | 1588148480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007756) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017562) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6362004088) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2022-11-10 |