| NPI | 1891143723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11173) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06158) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-12-08 |