NPI | 1235816687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY1189) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20043654A) |
Enumeration Date | 2023-06-28 |
Last Update Date | 2025-04-11 |