| NPI | 1326531245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5825) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018306) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2020-12-03 |