| NPI | 1316497738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810005582) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05858) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2026-08-24 |