| NPI | 1518107481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5466) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5466) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2024-07-15 |