| NPI | 1417739376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2023040347) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: MO 2023040347) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |