| NPI | 1063236768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6718) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC PP103548) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-01-08 |