| NPI | 1780711762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301011500) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 63601011500) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301011500) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-07-23 |