| NPI | 1942699178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 4602) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: MD 4602) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |