| NPI | 1740344456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: MI 6301007417) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301007417) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301007417) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301007417) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: MI 6301007417) | |
| 103TF0000X Psychologist, Family (Licence: MI 6301007417) | |
| 103TF0200X Psychologist, Forensic (Licence: MI 6301007417) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MI 6301007417) | |
| 103T00000X Psychologist (Licence: MI 6301007417) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |