| NPI | 1376780221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 926) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WV 926) |
| 103TF0200X Psychologist, Forensic (Licence: WV 926) | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2025-07-17 |