| NPI | 1053194407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5166) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5166) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2024-09-25 |