| NPI | 1801330626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0844) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016144) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2020-09-16 |