| NPI | 1730157959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OK 623) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OK 623) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-02-02 |