| NPI | 1992370985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5972) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2021-11-24 |