| NPI | 1265612204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 406) |
| Additional Taxonomies | 174400000X Specialist (Licence: ND 406) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2025-07-08 |