| NPI | 1154700417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 972) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 499) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2021-10-21 |