| NPI | 1407331010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MT PSY-PSY-LIC-3187) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2026-02-12 |