| NPI | 1043648157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05023) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: DC 1000924) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2024-04-26 |