| NPI | 1477588416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SD 444) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 373) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-10-26 |