| NPI | 1639335037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2000152432) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY1844) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2023-01-18 |