| NPI | 1326580200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005515) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC PSYA00115) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |