| NPI | 1144643040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005244) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 27982) |
| 103TC0700X Psychologist, Clinical (Licence: HI 1589) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2020-07-07 |