| NPI | 1255991998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011531) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11158) |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2025-10-01 |