| NPI | 1174695324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2501) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2501057) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-06-20 |