| NPI | 1366794828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0719) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1771) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2015-11-03 |