| NPI | 1437643186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07100) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008478) |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2025-10-10 |