| NPI | 1619122231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008986) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7643) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2025-10-13 |