| NPI | 1790934099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1483) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11130) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2025-03-24 |