| NPI | 1760007009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2052) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2052) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-12-10 |