| NPI | 1538545587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005122) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: AZ PSY-005122) | |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2022-10-14 |