| NPI | 1194482661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810009056) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2025-08-29 |