| NPI | 1063487064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1432) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 8091) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-12-04 |