| NPI | 1770952111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 651P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5666) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2025-01-29 |