| NPI | 1073789723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04792) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD pending1) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2011-01-29 |