| NPI | 1295064970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AK 199420) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO 3260) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2025-07-29 |