| NPI | 1952603060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3831) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 998) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2023-11-27 |