| NPI | 1174826242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1637) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 4045) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2023-05-22 |