| NPI | 1427464817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 091435) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 8818) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2019-06-07 |