| NPI | 1356034052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |