| NPI | 1033461611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9046) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9046) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2025-01-28 |