| NPI | 1255544706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016409) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP4182) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-12-06 |