| NPI | 1215717921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1927) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006223) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-07-03 |