| NPI | 1205177458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9452) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY0756) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2024-06-21 |