| NPI | 1013153170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC SC 1084) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SC 1084) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2021-11-04 |