| NPI | 1407056930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002790) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2024-02-19 |