| NPI | 1962046912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-203782) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005121) |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2023-12-18 |