| NPI | 1063188399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 5092-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5092) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-10-07 |