| NPI | 1952047953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019552) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6351004640) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6351004640) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-09-04 |