| NPI | 1700999018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361002457) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301008556) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-08-06 |