| NPI | 1417435447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005742) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: VA 0810005742) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |