| NPI | 1558743799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA 230536779) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7316) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004330) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2025-04-21 |