| NPI | 1124718846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07209) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008238) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-10-10 |