| NPI | 1174773915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL 1187) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 1187) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2023-09-25 |