| NPI | 1114086410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2106) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 2106) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-11-07 |