| NPI | 1700642592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002701) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7245) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |