| NPI | 1184993107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3694) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: PR 003694) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2025-05-13 |