| NPI | 1710996970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 543) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NM 543) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NM 543) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-04-27 |