| NPI | 1598314213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2020014107) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 19-09P) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-11-09 |