| NPI | 1275947574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4560) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AZ 4560) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-05-10 |