| NPI | 1801535596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 07155) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810008363) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-03-04 |