| NPI | 1760298038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5253-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5253-57) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-01-15 |