| NPI | 1922165265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301008361) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801009862) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-06-13 |