| NPI | 1992426548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020005) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011439) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2024-09-04 |