| NPI | 1932775376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019191) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6351004371) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2023-06-01 |