| NPI | 1922045244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 00809) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: IA 000809) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IA 000809) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-04-17 |