| NPI | 1326151788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1414) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MT PSY-PSY-APP-4445) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2023-11-01 |