| NPI | 1760769764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0697) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY 0522) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2022-06-03 |