| NPI | 1659675189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014082) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301014082) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |