| NPI | 1144076753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008297) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60600726) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-07-01 |