| NPI | 1942242029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py9309) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 5116) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-06-24 |