| NPI | 1588433411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B1-0011431) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS019894) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS019894) | |
| 103TC0700X Psychologist, Clinical (Licence: DE B1-0011431) | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-02-22 |