| NPI | 1316580186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0974) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: NV PY0974) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-02-09 |