| NPI | 1588195762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: HI PSY-1764) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AZ 4668) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2019-02-19 |