| NPI | 1689829921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1036) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 004836) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2023-10-26 |