| NPI | 1316654445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 6956) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist Counseling (Licence: PR 6956) | |
| 103TC1900X Psychologist Counseling | |
| 103TH0100X Psychologist Health Service (Licence: PR 6956) | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-10-28 |