| NPI | 1750258000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: PA PS020665) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA 36204) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2026-01-07 |