| NPI | 1386676583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 00-11P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 00-11P) |
| 103TC1900X Psychologist, Counseling (Licence: AR 00-11P) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-08-18 |