| NPI | 1518087691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1414) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0812-002442) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810-02442) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-02-11 |