| NPI | 1093909145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004193) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3109) |
| 103TC0700X Psychologist, Clinical (Licence: WV 1194) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 04485) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2025-09-07 |