| NPI | 1518151653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3249-057) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3249) |
| 103TC0700X Psychologist, Clinical (Licence: KY 1668) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2021-11-30 |