| NPI | 1619461241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 19-02P) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: MS 581022) |
| 103TC0700X Psychologist Clinical (Licence: MS 581022) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-10-15 |