| NPI | 1356955306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 4003) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11955) |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2023-11-24 |