| NPI | 1942556154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9175) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0006862) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2026-07-28 |