| NPI | 1104460807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: NH 6912) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: NC 5588) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2025-08-13 |