| NPI | 1760440952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6253) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002952) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-07-11 |