| NPI | 1255564183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005032) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: VA 0810005032) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2023-08-25 |