| NPI | 1881817203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301012897) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MI 6301012897) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-12-16 |