| NPI | 1154578938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-004161) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-004161) |
| 103TH0100X Psychologist, Health Service (Licence: AZ PSY-004161) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2020-05-07 |