| NPI | 1427080241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810002668) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 5531) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-01-18 |