| NPI | 1235287913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06317) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008265) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-12-20 |