| NPI | 1659828226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301017221) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI PP0000000949810) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-07-26 |