| NPI | 1225054869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2038-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2038057) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2026-02-16 |