| NPI | 1265426399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 3344) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: AZ 3344) |
| Enumeration Date | 2005-09-05 |
| Last Update Date | 2021-01-11 |