| NPI | 1912911967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2236) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2236-057) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-12-23 |