| NPI | 1881225092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007781) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017711) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6362001286) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-01-18 |