| NPI | 1952846255 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005416) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009442) | 
| Enumeration Date | 2016-12-23 | 
| Last Update Date | 2025-02-12 |