| NPI | 1215750179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 004367) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 11982) |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |