| NPI | 1831866532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6362008890) |
| 103T00000X Psychologist (Licence: 6362008890) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-01-31 |