| NPI | 1750696720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008831) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7362) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2025-12-17 |