| NPI | 1134736481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12165) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007947) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-09-03 |