| NPI | 1518452036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1452) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: LA 1452) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |