| NPI | 1770943144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361005352) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301011571) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2022-03-04 |