| NPI | 1144500471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: SC 1193) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1193) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2018-06-25 |