| NPI | 1407488968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 003431) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3923) |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY003431) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2025-12-04 |