| NPI | 1376743104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3710) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 003710) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2025-06-13 |