| NPI | 1003999608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL MT1268) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL MT1268) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-09-11 |