| NPI | 1205842325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2562) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 25621) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-05-19 |