| NPI | 1952642696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT 4039) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ID 202949) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2023-03-30 |