| NPI | 1871267930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301019499) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 0006030) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301019499) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2024-07-10 |