| NPI | 1154644540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0619) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8011) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2020-03-10 |