| NPI | 1013416874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 107094) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 1013) |
| 103TH0100X Psychologist, Health Service (Licence: IA 107513) | |
| 103TS0200X Psychologist, School (Licence: NE 2017003144) | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2021-03-08 |