| NPI | 1457825945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MD 07181) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810007128) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2024-03-08 |