| NPI | 1609964923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003600) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10703) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-11-19 |