| NPI | 1073242509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS019759) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-11-18 |