| NPI | 1295490522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9569) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC1900X Psychologist Counseling | |
| 103TH0100X Psychologist Health Service | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2022-09-11 |