| NPI | 1295974426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 9007) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3242) |
| 103TC0700X Psychologist, Clinical (Licence: CO 4538) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2024-08-22 |