| NPI | 1568075042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006427) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |