| NPI | 1790240984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11159) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003898) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2025-09-10 |