| NPI | 1164355442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 2009) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 5206) |
| Enumeration Date | 2026-06-05 |
| Last Update Date | 2026-08-26 |