| NPI | 1538181169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1935-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 1935057) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-08-16 |