| NPI | 1497902472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: SC 1375) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810004664) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2024-06-03 |