| NPI | 1770470536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1932) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6810) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-27 |