| NPI | 1508604091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 115600) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: IA 127582) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2025-06-19 |