| NPI | 1629138243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 002633) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 30571) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2025-10-23 |