| NPI | 1750697587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301014531) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301014531) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301014531) | |
| 103TF0000X Psychologist, Family (Licence: MI 6301014531) | |
| 103TH0004X Psychologist, Health (Licence: MI 6301014531) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MI 6301014531) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2020-08-18 |