| NPI | 1548393580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2578-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2578-057) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-10-04 |