| NPI | 1225255904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003974) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016062) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-04-14 |