| NPI | 1750526745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301016230) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6774) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.007581) | |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2025-09-04 |