| NPI | 1588822035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003830) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2019-07-24 |