| NPI | 1235748773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2020029142) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2022-08-18 |