| NPI | 1548145758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 7643) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 7643) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 7643) | |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |