| NPI | 1205233426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5551) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: NC 5551) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2024-02-02 |