| NPI | 1124638333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019131) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY61127031) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043621A) | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2024-09-25 |