| NPI | 1023974615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 8741) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 8741) |
| 103TC1900X Psychologist, Counseling (Licence: PR 8741) | |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2026-01-16 |