| NPI | 1821438490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3858) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810004775) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-07-12 |