| NPI | 1386753531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY0006301) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6301) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-03-24 |