| NPI | 1689280778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0006732) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 00576) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2025-05-23 |