| NPI | 1407001100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 48 832) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 948) |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY002327) | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2024-12-02 |