| NPI | 1609404912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 202298) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 0005162) |
| 103T00000X Psychologist (Licence: NE 1052) | |
| 103T00000X Psychologist (Licence: TX 38531) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-10-20 |