| NPI | 1699902668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0003795) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301013636) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2017-04-13 |