| NPI | 1184354250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06812) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ PSY-005754) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-10-01 |