| NPI | 1083253454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 2018-000823689) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY1318) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2026-06-08 |