| NPI | 1356516132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04522) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC 1000495) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-08-28 |