| NPI | 1588208045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014462) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: 6301014462) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |