| NPI | 1063572485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 005960) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 1786) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2025-04-15 |