| NPI | 1366277725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008704) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 07184) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-08-22 |