| NPI | 1396469557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6218) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 103476) |
| 103TH0100X Psychologist, Health Service (Licence: NC 6218) | |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2025-07-14 |