| NPI | 1487903167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5660) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5660) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2025-10-02 |