| NPI | 1942493861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 4006) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 4006) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2024-09-25 |