| NPI | 1275004111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5417) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007114) |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2025-12-05 |