| NPI | 1306578000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6623) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: NC 6623) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2024-10-03 |