| NPI | 1790233153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2016035936) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2023-10-16 |