| NPI | 1124910013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6939) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS02357) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-11-04 |