| NPI | 1568139921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011335) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 6819) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2024-08-30 |