| NPI | 1023234572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 298385) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 4759) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2026-04-19 |