| NPI | 1528401759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0132241) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003680) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2018-08-20 |