| NPI | 1982623195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL AL1343) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1343) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-07-14 |