| NPI | 1386993731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: NV PY1140) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 38011) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2024-09-16 |