| NPI | 1922316710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 075344) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IA 075344) |
| 103TC0700X Psychologist, Clinical (Licence: IA 075344) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-09-17 |