| NPI | 1922837988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6872) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 5349) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2026-05-21 |