| NPI | 1285164418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10880) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06154) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-09-26 |