| NPI | 1932301611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1368) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7418) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2023-11-29 |