NPI | 1700497583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11527) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11527) |
103T00000X Psychologist | |
Enumeration Date | 2020-08-13 |
Last Update Date | 2025-10-01 |