| NPI | 1104597699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 40134) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY004482) |
| 103T00000X Psychologist (Licence: WI 530457) | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2025-02-06 |