| NPI | 1871325126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6362009976) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6361008270) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-11-14 |