| NPI | 1669798310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2007038811) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2007038811) |
| 103TF0200X Psychologist, Forensic (Licence: MO 2007038811) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2019-03-25 |