| NPI | 1174950455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6315) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2309) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2023-06-22 |