| NPI | 1740891498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361003896) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301009899) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-09-04 |