| NPI | 1528353422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3124-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3124-57) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-07-03 |