| NPI | 1598844540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 2600) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 2600) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-06-22 |