| NPI | 1184693707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2555) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2555) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 2555) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2022-07-27 |