| NPI | 1245998392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6029) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2024-07-25 |