| NPI | 1588309082 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011370)  | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS019564)  | 
| 103TC0700X Psychologist, Clinical (Licence: KS LP03186)  | |
| Enumeration Date | 2022-04-29 | 
| Last Update Date | 2023-08-21 |