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 |