| NPI | 1689159725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6362006579) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017602) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2020-04-30 |