| NPI | 1679309892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 4868) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 4868) |
| 103TH0004X Psychologist Health (Licence: CT 4868) | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |