| NPI | 1356889471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: VA 0810005495) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: VA 0810005495) |
| 103TC0700X Psychologist Clinical (Licence: VA 0810005495) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-04-21 |