| NPI | 1174368500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 6559) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PR 6559) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2025-08-20 |