| NPI | 1184666000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005674) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-12-28 |