| NPI | 1033401781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC 1000346) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: DC 1000346) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2024-09-04 |