| NPI | 1326672684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 6505) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 6505) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2023-06-13 |