| NPI | 1700116134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 791) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004202) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2020-11-12 |