| NPI | 1619726650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006652) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2026-09-10 |