| NPI | 1003230350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3345) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PSY9194) |
| 103TC0700X Psychologist, Clinical (Licence: MS 54960) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2023-02-15 |