| NPI | 1053033282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID 9871472) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 12966160-2504) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2025-10-31 |