| NPI | 1740410232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 001127) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 001127) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2016-06-08 |