| NPI | 1649463266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 985) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY985) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2021-07-22 |