| NPI | 1578377354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist Family (Licence: MO 2024021301) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: KS 03649) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |