| NPI | 1740444355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: VA 0601377) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810003930) |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2024-08-30 |