| NPI | 1891887840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3109) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 576) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-02-22 |