| NPI | 1245422385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 2905) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 2905) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2024-02-20 |