| NPI | 1013209352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3512-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 34949) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2025-05-14 |