| NPI | 1285068023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID PSY-203328) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2768) |
| 103T00000X Psychologist (Licence: WY 662) | |
| 103T00000X Psychologist (Licence: WA 60721870) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2025-07-03 |