| NPI | 1245999275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810007556) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007556) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2025-05-09 |