| NPI | 1194346213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 005720) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 005720) |
| 103TC1900X Psychologist, Counseling (Licence: PR 005720) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-09-10 |