| NPI | 1508187931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3970) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1521) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2023-03-09 |