| NPI | 1467068254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 2120) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 4188) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |