| NPI | 1205398591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008460) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 07683) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2026-04-01 |