| NPI | 1073019527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003240) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 003240) |
| 103TH0004X Psychologist, Health (Licence: CT 003240) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |