| NPI | 1437334067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: NC 2866) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2866) |
| 103TC1900X Psychologist Counseling | |
| 103TH0004X Psychologist Health (Licence: NC 2866) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2018-03-17 |