| NPI | 1003286543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6103) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY9326) |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2023-10-13 |