| NPI | 1003628934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12587) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY12587) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY12587) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: FL PY12587) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |