| NPI | 1275033300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 4120) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA 4120) |
| 103TH0004X Psychologist, Health (Licence: GA 4120) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |