| NPI | 1699257600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3198) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: OR 3198) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-06-21 |