| NPI | 1679764609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018815) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY26305) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2022-03-09 |