| NPI | 1285142513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 1302) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 289365) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2025-07-09 |