| NPI | 1396293015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005919) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2022-10-25 |