| NPI | 1184275331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006096) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: TN 4277) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY10735) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2026-08-31 |