| NPI | 1942689955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3228) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 9352269-2501) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2025-05-07 |