| NPI | 1487972063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3069) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI PSY-1169) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2025-01-30 |