| NPI | 1093922171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B1-0000299) |
| 103TH0100X Psychologist, Health Service (Licence: PA PS015855) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-09-11 |