| NPI | 1144375338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: FL PY9893) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PR 2142) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2022-05-24 |