| NPI | 1043349558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 1316) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 9725) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-03-30 |