| NPI | 1831347277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5505) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5505) |
| 103TC0700X Psychologist, Clinical (Licence: FL 7696) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-08-23 |