| NPI | 1023253911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 8299263-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WY 477) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2022-08-17 |