| NPI | 1881201788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007660) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362008870) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2023-06-29 |