| NPI | 1184567117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12772) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004275) |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-06-24 |