| NPI | 1346384989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1503) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 90533572501) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2021-08-09 |