| NPI | 1295914703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: HI 1021) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 71.021053) |
| 103TC0700X Psychologist Clinical (Licence: WA PSYC.PY.61668675) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2025-09-01 |