| NPI | 1487430542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6700) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 202246) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-12-11 |