| NPI | 1295898070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9261) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3052) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY21384) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2017-04-18 |