| NPI | 1326696535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019763) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2024047158) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2025-03-05 |