| NPI | 1316096456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 004941) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 10147) |
| 103TC0700X Psychologist, Clinical (Licence: MA 9688) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2025-01-17 |