| NPI | 1891947016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003994) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2989) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-04-05 |