| NPI | 1770538480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2333) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: WI 2333-057) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-10-24 |