| NPI | 1902021405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012647) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 22251) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-06-09 |