| NPI | 1508212937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 103399) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6070) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-05-20 |