| NPI | 1083503254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 8479) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 8479) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PR 8479) | |
| 103TF0000X Psychologist, Family (Licence: PR 8479) | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-08-04 |