| NPI | 1033369186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004039) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 7802) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2025-03-27 |