| NPI | 1871510727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3622) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003649) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-03-16 |