| NPI | 1437525003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5075) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3297) |
| 103TC0700X Psychologist Clinical (Licence: NC 5075) | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2023-04-25 |