| NPI | 1124215256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK 242882) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 1724) |
| 101YP2500X Counselor, Professional (Licence: AR A0510074) | |
| 103TC0700X Psychologist, Clinical (Licence: AR 18-08P) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2026-06-09 |