| NPI | 1467614248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1123) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 8415) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2018-07-19 |