| NPI | 1962424044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003663) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810003663) |
| 103TF0200X Psychologist, Forensic (Licence: VA 0810003663) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-10-02 |