| NPI | 1073887907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1245) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2011033099) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2021-03-13 |