| NPI | 1851473839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301011046) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015520) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-01-15 |