| NPI | 1124232699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 01232) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 01232) |
| 103TH0004X Psychologist, Health (Licence: MO 01232) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-10-10 |