| NPI | 1356988539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: AZ PSY-005095) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ PSY-005095) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2022-08-18 |