| NPI | 1982879318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361005209) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301011139) |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2022-02-10 |