| NPI | 1740996925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 822) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 6829) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-07-23 |