| NPI | 1326624263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810009010) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY900263) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2025-10-22 |