| NPI | 1295901080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016993) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.7281) |
| 103T00000X Psychologist (Licence: FL PY10164) | |
| 103T00000X Psychologist (Licence: NY 020453) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2024-02-08 |