| NPI | 1932164597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301010317) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 630101317) |
| 103T00000X Psychologist (Licence: MI 6301010317) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |