| NPI | 1932357555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2729) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9699) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2022-03-17 |