| NPI | 1699984815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1357) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 7811) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-04-11 |