| NPI | 1407206352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1980) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005648) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-10-31 |