| NPI | 1487401204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810008841) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: MD A0976) | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2025-07-07 |