| NPI | 1356051957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0005886) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |