| NPI | 1336918721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: FL M520000726430) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: FL M520000726430) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |