| NPI | 1013320829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK 109776) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AK 109776) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-08-07 |