| NPI | 1629475199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MI CC-0C1790525433) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301002743) |
| Enumeration Date | 2014-11-29 |
| Last Update Date | 2014-11-29 |