| NPI | 1548417389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 2745-057) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: WI 2745-057) |
| Enumeration Date | 2008-08-23 |
| Last Update Date | 2008-08-23 |