| NPI | 1013001114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 2205) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ND 306) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2017-02-24 |