| NPI | 1255901229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2023036586) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS LP03247) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2025-10-14 |