| NPI | 1003481326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY11092) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY11092) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: FL PY11092) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2023-11-09 |