| NPI | 1942720685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6362008880) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |