| NPI | 1144412834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008228) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ND 508) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2025-01-01 |