| NPI | 1134104367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1332) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 641201) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2024-09-18 |