| NPI | 1205298106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6389) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 36211) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-01-10 |