| NPI | 1922986033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 129129) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY900262) |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2026-03-03 |