| NPI | 1285006932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0923) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3306) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2019-12-03 |