| NPI | 1699220053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006195) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA PPPS-0605906) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2021-04-14 |