| NPI | 1215402318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006075) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL TPPY1442) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2022-07-13 |