| NPI | 1760937817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MS 56994) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MS 56994) |
| 103TC0700X Psychologist, Clinical (Licence: MS 56994) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-10-27 |