| NPI | 1891934675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3555) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3718) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2019-09-16 |