| NPI | 1528248333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID psy-202856) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID psy-202858) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2021-01-26 |