| NPI | 1528777133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11640) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6346) |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-06-21 |