| NPI | 1326075045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810002336) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810002336) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: VA 0810002336) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |