| NPI | 1982016093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3129) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3129-57) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-11-21 |