| NPI | 1154799864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005809) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2017-10-12 |