| NPI | 1295376135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019310) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006184) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2021-07-19 |