| NPI | 1356680805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 02830) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 02830) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2019-03-04 |