| NPI | 1275946139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 5223) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: PR 5223) |
| 103TC1900X Psychologist, Counseling (Licence: PR 5223) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PR 5223) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2022-01-24 |