| NPI | 1215599766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6023) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL 10525) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2024-06-25 |