| NPI | 1073061081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2016034058) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2610) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2018-08-13 |