| NPI | 1700383114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2020026173) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006291) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-12-10 |