| NPI | 1487411997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6734) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 103570) |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2025-07-08 |