| NPI | 1174870620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12163) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 4253) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2025-11-13 |