| NPI | 1033862677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: FL PY12868) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12868) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2026-01-12 |