| NPI | 1881010668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 1097) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 167) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2022-09-23 |