| NPI | 1447714928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 6243) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: PR 6243) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-07-30 |