NPI | 1649510223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301019684) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSD36578) |
Enumeration Date | 2013-02-19 |
Last Update Date | 2025-07-24 |