| NPI | 1376021212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 03276) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2023038869) |
| 103TC0700X Psychologist, Clinical (Licence: CA 35502) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2025-02-11 |