| NPI | 1790012136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3118-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3118-57) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2022-03-10 |