| NPI | 1376917377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-005419) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY11248) |
| Enumeration Date | 2015-11-15 |
| Last Update Date | 2022-01-12 |