| NPI | 1164244141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 134119) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 134518) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2025-09-21 |