| NPI | 1841503091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY1095) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 102901) |
| 103TH0004X Psychologist, Health (Licence: NC 102901) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2023-06-19 |