| NPI | 1225505803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003726) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CT 003726) |
| 103T00000X Psychologist (Licence: TX 38800) | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2025-09-17 |