| NPI | 1023124336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV 0581) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MT 361) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-05-13 |