| NPI | 1356489793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 1149) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NH 41714) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-09-18 |