| NPI | 1376989962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1698) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3255-57) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2021-09-24 |