| NPI | 1750161451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 4838) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NC 4838) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-01-02 |