| NPI | 1619737376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361000976) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802046450) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |