| NPI | 1144874298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 13105066-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MT PSY-PSY-LIC-3640) |
| 103T00000X Psychologist (Licence: HI PSY-2131) | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-12-18 |