| NPI | 1295707495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11894) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 923) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-04-10 |