| NPI | 1144413451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4141) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3371) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2016-11-11 |