| NPI | 1881036994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: CT 4074) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MA 11451) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2023-11-20 |