| NPI | 1336673599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 7055) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS018235) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2026-04-07 |