| NPI | 1194962720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 1268) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 7846) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2022-09-02 |