| NPI | 1518274588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06378) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103TF0200X Psychologist, Forensic (Licence: MD 06378) | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2022-07-20 |