| NPI | 1336924414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2026005464) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 13403136-2501) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2026-02-06 |