| NPI | 1215284906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4833) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003583) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2021-07-05 |