| NPI | 1891557815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 7126) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS020372) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2025-10-14 |