| NPI | 1083084222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005118) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10862) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2021-12-07 |