| NPI | 1851725873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05447) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05447) |
| 103TR0400X Psychologist, Rehabilitation (Licence: MD 05447) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2019-06-10 |