| NPI | 1780943761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005167) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 002838) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2024-06-20 |