| NPI | 1649331067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2010004829) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 2817) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-04-13 |