| NPI | 1902336704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY0006748) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 103658-875) |
| 103T00000X Psychologist (Licence: UT 14272867-2501) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2026-03-20 |