| NPI | 1225498967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: AK 103719) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AK 103719) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2023-01-31 |