| NPI | 1023890464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011466) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 34611) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-12-17 |