| NPI | 1013115724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3489) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 5797951-2504) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-05-06 |