| NPI | 1184079394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6361007624) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017432) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-07-30 |