| NPI | 1982998084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301013382) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2025-09-25 |