| NPI | 1740988567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1865) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008619) |
| 103TC0700X Psychologist, Clinical (Licence: NC 6688) | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2025-02-24 |