| NPI | 1679784920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1834) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 1834) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-08-07 |