| NPI | 1558714261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: UT 10946698-2501) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 2701) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-06-11 |