| NPI | 1336202928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810005899) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MD 04206) |
| 103T00000X Psychologist (Licence: MD 04206) | |
| 103T00000X Psychologist (Licence: CA PSY-19371) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-01-06 |