| NPI | 1871009480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06617) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06617) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2025-02-20 |