| NPI | 1669130282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004863) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007670) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2025-08-11 |