| NPI | 1477514974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1657) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6248) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2023-12-27 |