| NPI | 1912927575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2006036657) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 7923) |
| 103TC0700X Psychologist, Clinical (Licence: AR 00-08P) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-02-25 |