| NPI | 1356982383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: VA PPS-0605896) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: VA 0813000940) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-08-19 |