| NPI | 1013391333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3413) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001118) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-03-25 |