| NPI | 1154783967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3355 - 57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3355-57) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-01-27 |