| NPI | 1871565275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9552) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5039) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-06-07 |