| NPI | 1083701577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019469) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY3614) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-09-08 |