| NPI | 1255006359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY1684) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11775) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2026-06-11 |