| NPI | 1427061365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2764) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC PP6469) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-04-17 |