| NPI | 1841436375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361003317) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012107) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2022-05-18 |