| NPI | 1922245547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 082915) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003300) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2017-05-03 |