| NPI | 1053521062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11077) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 1978) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2026-04-27 |