| NPI | 1285136440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005942) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WY 568) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2024-07-10 |