| NPI | 1114786183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 5142-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5142-57) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-09-25 |