| NPI | 1235170796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002873) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3019) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-02-02 |