| NPI | 1043895550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 743) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WY 743) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810008851) | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2025-07-28 |