| NPI | 1235541780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11441) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY0005701) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2023-05-16 |