| NPI | 1770770653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 0480046669) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0589) |
| 103TC0700X Psychologist, Clinical (Licence: NV PYT091214) | |
| 103TC0700X Psychologist, Clinical (Licence: VT 047-0000739) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2019-06-10 |