| NPI | 1164751087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: HI PSY1429) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 6021) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2022-08-02 |