| NPI | 1639994445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MI 6301019576) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301019576) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-02-14 |