| NPI | 1891655767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019939) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011414) |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2026-01-06 |