| NPI | 1033902523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2025017813) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY35310) |
| 103TC0700X Psychologist, Clinical (Licence: KS LP03384) | |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |