| NPI | 1376162214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011441) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007634) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2024-05-29 |