| NPI | 1922547033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007847) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016910) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6362007494) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-06-22 |