| NPI | 1518191766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AZ 3555) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3555) |
| 103TC0700X Psychologist, Clinical (Licence: AZ 3555) | |
| Enumeration Date | 2009-05-03 |
| Last Update Date | 2023-03-10 |