| NPI | 1356550362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3549) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3882) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-04-21 |