| NPI | 1396325106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 6774) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 6774) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2024-06-09 |