| NPI | 1114167087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04469) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MD 04469) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2025-08-27 |