| NPI | 1932143781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2006006564) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12107) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-01-25 |