| NPI | 1972877983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3012) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2023-10-30 |