| NPI | 1093062648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1379) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005572) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2023-11-09 |