| NPI | 1194097147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3284) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 11845) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2023-10-12 |