| NPI | 1194409672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008573) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 07196) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2026-01-05 |