| NPI | 1811431273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301016970) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 9018) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |