| NPI | 1265065767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10730) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10730) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2025-02-07 |