| NPI | 1952584278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3639-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 077441) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2020-04-05 |