| NPI | 1033584404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3596-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9121) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2019-03-07 |