| NPI | 1457738197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ND 542) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MT PSY-PSY-LIC 1709) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2023-03-24 |