| NPI | 1760208987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: MD Cer-193555-N6B3N2) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD Cer-193555-N6B3N2) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-26 |