| NPI | 1972905750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38931) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY0838) |
| 103T00000X Psychologist (Licence: MD 05598) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2021-09-09 |