| NPI | 1225864556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 7956) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 7956) |
| 103TF0000X Psychologist Family (Licence: PR 7956) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: PR 7956) | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |