| NPI | 1568194470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS020491) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810008899) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-06-06 |