| NPI | 1417509464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005305) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 10936760-2501) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2022-05-05 |