| NPI | 1255814380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 4609) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 1499) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2023-09-12 |