| NPI | 1346730496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007790) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11669) |
| 103TC0700X Psychologist, Clinical (Licence: PR 005804) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2025-02-03 |