| NPI | 1932774676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019524) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011353) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-08-18 |