| NPI | 1851517189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361004396) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301011982) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-03-04 |