| NPI | 1982153987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 202281) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 34676) |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2024-10-23 |