| NPI | 1144906413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5145) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5145) |
| 103T00000X Psychologist (Licence: IA 115838) | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2024-10-17 |