| NPI | 1841487394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301011876) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MI 6301011876) | |
| 103TC0700X Psychologist Clinical (Licence: MI 6301011876) | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MI 6301011876) | |
| 103TF0000X Psychologist Family | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MI 6301011876) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 6301011876) | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2019-11-06 |