| NPI | 1811219272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014326) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6301014326) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |