| NPI | 1447970660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 7398) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: PR 7398) |
| 103TH0100X Psychologist Health Service (Licence: PR 7398) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: PR 7398) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |