| NPI | 1558406595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0002384) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 397) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-07-21 |