| NPI | 1750737284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301017007) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MI 6301017007) |
| 103TC1900X Psychologist Counseling | |
| 103T00000X Psychologist | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2018-11-15 |