| NPI | 1558591172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ PSY-004631) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY0401) |
| 103T00000X Psychologist (Licence: MT 382) | |
| 103T00000X Psychologist | |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2020-08-13 |