| NPI | 1831770015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY1893) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005406) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-08-10 |