| NPI | 1932481538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3858) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 4874) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2025-11-04 |