| NPI | 1003534611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 120003) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011438) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-07-01 |