| NPI | 1083227805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 3248) |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-01-29 |