| NPI | 1497995104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC 1001433) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY7804) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2019-08-15 |