| NPI | 1295802528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VT 048.0134757) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DE B1-0000661) |
| 103T00000X Psychologist (Licence: MA PSY10553) | |
| 103T00000X Psychologist (Licence: PA PS002961L) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-07-25 |