| 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 |