| NPI | 1659843340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007308) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6362005050) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6361007308) | |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301017750) | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2021-03-26 |