| NPI | 1215518493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06530) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI 1941) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2023-01-10 |