| NPI | 1225449697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4689) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 103088) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2015-07-20 |