| NPI | 1356112411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 6476) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0100X Psychologist Health Service (Licence: NC 6476) | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |