| NPI | 1073688586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: AZ PSY-005744) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: WA PY00001777) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-04-11 |