| NPI | 1184935330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 1080) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 11721681-2500) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-05-21 |