| NPI | 1295895332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3470) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8301) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-09-02 |