| NPI | 1548628720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810008056) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0004X Psychologist Health | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2023-05-26 |