| NPI | 1316363419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC 1864) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1864) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2024-09-25 |