| NPI | 1699232173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 810005503) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 004690) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2026-01-09 |