| NPI | 1497345987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: LA 1624) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 02942-T) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-08-09 |