| NPI | 1528544350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5844) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018286) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2022-04-12 |