| NPI | 1013172758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0004435) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003834) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2021-09-08 |