| NPI | 1982154852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007122) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301016246) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2024-10-17 |