| NPI | 1992196794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301018936) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015989) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2021-12-08 |