| NPI | 1013438696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3412) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0964) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2021-10-23 |