| NPI | 1841273885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MS 46755) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NE 614) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2024-09-24 |