| NPI | 1548440878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3582) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 37058) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042211A) | |
| Enumeration Date | 2007-11-03 |
| Last Update Date | 2022-12-01 |