| NPI | 1235975582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008489) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 6669) |
| Enumeration Date | 2024-07-06 |
| Last Update Date | 2026-06-09 |