| NPI | 1174016653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11272) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA GA-PSY004793) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2026-08-10 |