| NPI | 1285174789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 103496) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 103496) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2023-11-01 |