| NPI | 1346992963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 4010-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 4010-57) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-06-17 |