| NPI | 1922357557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MI SP0000000772488) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 2720103) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |