| NPI | 1851112635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301019500) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |