| NPI | 1770663460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 002344) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002344) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-03-15 |