| NPI | 1508751884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006838) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA PY61612736) |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-10-01 |