| NPI | 1144936824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 7266) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 810008745) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2024-12-17 |