| NPI | 1043536709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05244) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: MA PSY10000379) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2026-08-25 |