| NPI | 1922353986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 21547) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0004780) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2024-03-21 |