| NPI | 1831581180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 103091) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06934) |
| 103TC0700X Psychologist, Clinical (Licence: NC 4771) | |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2026-04-09 |