| NPI | 1801442124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12133) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2024-01-29 |