| NPI | 1366415176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WV 1189) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 081002011) |
| 103TC0700X Psychologist, Clinical (Licence: WV 1189) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2023-02-20 |