| NPI | 1740918457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TH0004X Psychologist Health | |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |