| NPI | 1942307517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: MI 6301003873) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301003873) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2025-09-11 |