| NPI | 1861697674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2004024737) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS LP2409) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2025-09-15 |