| NPI | 1760716179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0574) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY8514) |
| 103TC0700X Psychologist, Clinical (Licence: CO 3186) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |