| NPI | 1003294232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06162) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MD 06162) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2019-06-10 |