| NPI | 1871748756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2022029712) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 20-04P) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2024-03-25 |