| NPI | 1285131110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0005055) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4909) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2019-12-17 |