| NPI | 1528583515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1932-0) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005769) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2021-09-21 |