| NPI | 1023537602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9995) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018276) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-05-13 |