| NPI | 1477194900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2022036455) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MT 3571) |
| 103TC0700X Psychologist, Clinical (Licence: NC 5626) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2022-12-21 |