| NPI | 1033393137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VT 047-0000369) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 369) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2018-11-26 |