| NPI | 1659473353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 2257-057) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: WI 2257-057) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2024-09-30 |