| NPI | 1235294851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 081000-7249) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2874) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-07-31 |