| NPI | 1255664249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 2586) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 4688) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2024-05-07 |