| NPI | 1992339253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018372) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6361007588) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2023-11-28 |