| NPI | 1013220284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006048) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 09203) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2020-12-03 |