| NPI | 1124337837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0134157) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2019-05-07 |