| NPI | 1689764318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2008028996) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-10-03 |