| NPI | 1205204526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007678) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2022-03-22 |