| NPI | 1598913360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11408) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2063) |
| 103TC0700X Psychologist, Clinical (Licence: WI 3248-57) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2024-08-15 |