| NPI | 1023039526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY1085) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY00002432) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-11-08 |