| NPI | 1821813395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 2399) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 6897) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2026-08-14 |