| NPI | 1790224392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019362) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301019362) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2025-02-05 |