| NPI | 1730373317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 12218) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3449) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2026-07-01 |