| NPI | 1831582675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NM 1362) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: NM 1362) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |