| NPI | 1881857233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013889) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6361002323) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2024-01-05 |