| NPI | 1841504388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 4021) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: NC 4021) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2013-10-24 |