| NPI | 1518363746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 098962) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 1926) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2026-01-07 |