| NPI | 1710598982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3897-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS020083) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-04-01 |