| NPI | 1588602239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 01828) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO PY01828) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-11-06 |