| NPI | 1730808544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 7409) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: PR 7409) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 7409) | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |