| NPI | 1598958811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 724) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 310) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2024-09-13 |