| NPI | 1669912960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4826) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: AZ 4826) |
| 103TC0700X Psychologist, Clinical (Licence: AZ 4826) | |
| 103TH0004X Psychologist, Health (Licence: AZ 4826) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2018-02-15 |