| NPI | 1124336912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1645) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 2961) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2024-10-14 |