| NPI | 1336355676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 1496) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1496) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-09-11 |