| NPI | 1962934471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015739) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY900366) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2026-08-13 |