| NPI | 1033586748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3642) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 246145) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2019-09-30 |