| NPI | 1104432046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5947) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5947) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-12-18 |