| NPI | 1942681747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 431032835) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MO 431032835) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |