| NPI | 1598154205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005142) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810005142) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0810005142) | |
| 103TH0004X Psychologist, Health (Licence: VA 0810005142) | |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2016-10-18 |