| NPI | 1144734468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020366) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006285) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2025-01-02 |