| NPI | 1598902405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: LA 1093) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 1093) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2019-08-02 |