| NPI | 1164584835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38116) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100524800) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2024-02-08 |