| NPI | 1104379320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 5738) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 5738) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |