| NPI | 1891476107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361008233) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6362009732) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2026-03-30 |