| NPI | 1821599077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 081008298) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 5244) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2025-11-10 |