| NPI | 1134857717 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5267-57) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 5267-57) | 
| Enumeration Date | 2022-08-11 | 
| Last Update Date | 2025-06-05 |