| NPI | 1467043406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1616) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1616PL) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2023-06-07 |