| NPI | 1366659443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 511) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH NH) |
| 103T00000X Psychologist (Licence: NH #511) | |
| 103T00000X Psychologist (Licence: NH 511) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-09-19 |