| NPI | 1730923400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008473) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1676) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-10-30 |