| NPI | 1891183463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0004707) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05805) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2018-03-17 |