| NPI | 1396998100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-004852) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6943) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY6943) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2021-03-03 |