| NPI | 1801936885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: CA 21198) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: TX 40125) |
| 103TH0100X Psychologist, Health Service (Licence: OH P.08596) | |
| 103TH0100X Psychologist, Health Service (Licence: MI 6301019445) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-06-18 |