| NPI | 1255851713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 4085-57) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 3491-226) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-02-12 |