| NPI | 1568483477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0694) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 15820) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2013-12-02 |