| NPI | 1639849235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5977) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 103421) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-10-22 |