| NPI | 1346457231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3799) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: TX 37999) | |
| 103T00000X Psychologist (Licence: NY 023251) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-12-29 |