| NPI | 1043295850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 001992) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 001992) |
| 103T00000X Psychologist (Licence: CT 01992) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-10-18 |