| NPI | 1235876053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 07172) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 007172) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2025-04-22 |