| NPI | 1275298689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 282837) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 271763) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2023-01-30 |