| NPI | 1972798635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 964) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005720) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2018-06-20 |