| NPI | 1043468994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 6001) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 702) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2023-09-06 |