| NPI | 1043309230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002113) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5410) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-07-23 |