| NPI | 1881923761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361001635) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301013828) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2024-05-08 |