| NPI | 1922136001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 268285) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3824) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-12-19 |