| NPI | 1174936231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9903) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05078) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |