| NPI | 1851378400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 5686) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010947) |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2023-09-03 |