| NPI | 1588067490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2554) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WV 1347) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2025-08-19 |