| NPI | 1407938426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4109) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AL 1418) |
| 103TC0700X Psychologist, Clinical (Licence: NC 4109) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-02-29 |