| NPI | 1316977424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1183) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2940) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-06-12 |