| NPI | 1518419787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042990A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 38995) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301018397) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.010314) | |
| 103TC0700X Psychologist, Clinical (Licence: OH P.08148) | |
| 103TC0700X Psychologist, Clinical (Licence: KY 270623) | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2023-09-22 |