| NPI | 1336548270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 60931917) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 34123) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043657A) | |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2025-08-27 |