| NPI | 1245584382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4332) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NC 4332) |
| 103TC0700X Psychologist, Clinical (Licence: NC 4332) | |
| Enumeration Date | 2012-10-27 |
| Last Update Date | 2025-03-18 |