| NPI | 1043369010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 2853) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CO 2853) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-10-01 |